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Me ae WEE (4) a ATSsT AT“ aPTAT agai cat aeaedt aravs, Lowe" aT FI (2) aT Aas FET WA BAG | 2. ae ft a wart wat ad acim aa aT arin” ware Us ASAT AIT BRST we | S@ "APT wae Fae aa ae feaT Reva at arate wanted avast a raf aA as at wars wed os ta wera Fae aera Wer TC Tare ae FEAT ET R3. a & mo AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe SARS C deat aries at WISE | WaT TIT Oar AT TEI WH Aare SET Aare AT TE | wort Geta wae ay Aare genau = faeea- wafeiavastece) art Seat eT wh (qHaTera) araTy TE | orate 9.9 ¢ 9.3 aeiferrT aTaTST aa aay aT eT aT, aeaninge ofa aiaar arisen wit aPrsT APT Ae Te arate weaa at fa: (9) agatia Gar cuaearest wd ata seated Weary ar Frere etreftar aT Saran avis yeaa Ger we AHL (2) BIE (9) Tas eather MMA WeaTa WT aay at we meat fafa aa fata arin Feast wa sre faut year omit atraT aera, ad aaa went fey AGI <3AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe Q) weer (@) aaa aeaftar ent we aeatt wear Foie wh dat arrart aranrens fr wig | (6) Sree (3) Taf ef Aeareraae seat we aug at we svat fafa ae fafa ararret waoamas ahfrat eiatadvar wt agaiia ara cates fea aa | (4) TUT A, WET AEE Tt rain ae eee ME ATHY EI IG | (8) aera ta aeatt fewer frat arineret et Ret Patt ara t aah age aaa AAT aT as Arata TA: ae fey wg | aie weqaret gta: (4) Ter 2 aa avatar yeaa tet wel agatia car araiaed GA aa far aeeh-q aaifraret eta area air aier a Fara Gears wh TTT | ae offs af 2oee/oeq a te GA WeTaeT a aes (2) wor 3 sai yeaa Yet wel aes ager aa Fear arava, own at aqeri-q aaa aeBUS Go) BEM RATA TATA AUT y Ff Rowe STRATE AE, Bit t AS Prareeart afer ferret toa. anit aie eer fae car eae wero aa ate Wo ae Tehe arahad Hearne aes adnan ty oracany TAT yore wae wh anart Aerear vase gait TAT yearaara tet ae Tg | wae wis eat wea ad at acer et aio < adel arama Agata Sar erates wt weit at carat fet afar: () 4e%, Fae, Ta, Fe WeAG, wan, eer a, asagt ca awa oad aia, fears, gat tat aeraita, wat waft sar war, araret rat wrest fercerey, aaire tar caraas wala, erat ¢ aaa, een ties vata, Gage Tata, faart car wfafe qatar, HAT S@3399399338 aKBUS Go) BEM RATA TATA AUT y Ff Rowe agaiia Saari eftepitar ara: (9) waar wearer TET ¥ ait edtepiaet cuit er acer (P) @ a aes wafreat wer aire, ETAT wat ca watea fete aerear verre ad aes (wHfesep) 1 ah. 4 AT Sasa AT ATE AAT a arherat wana wT aT ciferarar geen ATT, seria Sarat omit veafaa araorraet fat aera a aaa da aiaer acer ara agar @edrar were vider, a afaer amar ante aqarest dia were toate af < ara adh avar ama aaret wea wie ae ATT we af aererat asain Fart fam yerat aviv wd ues aka qa eae | aaa eT agatta carat wentt at etteta fear at ar ar Gt BAI wrarad wearers al ara Parse gfahaite ovfdacs, faega sfatratey s&AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe ee a @) o) feared (ers wire fead. fear, Reve wi efataty Rad Ree arin ay cara aati wept fac fade we re aafirr ‘aCe, feared ¢ Fain, Sarasin Soret we Cael ET ae aaa wat east car uRfere araraeier afer wa, arisaret eat afte wf wt at waht wo we are at weet erat wie efeuat, Farad at dae gers a ate qein, aria erin, SRT Ta aoa ator X aas ales FUT AAT, VENT ATHTE TFA TERT ara aretarfter at ae-etar wart BF aay ay arreritat weft t aA art aqid aft aver aa aia wentd Wa aus, wAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe @) ate serra derq awa avitsraTaT maT We ATH SAT Gla PAA Ua (Q) again caret oft are antes aie eT waratirr eaipia fers way Fg | writ Rare < fear: (9) ah warerret wearers at Parr agate Sar arate wig | Q) aeatia arinaret ware at farerarit arated Aare, aT aT aTATSTATaT BAG | (3) Wearerret ar fare were at agate carat aerate Pract aqeci-w ar stare care are carat ¢ ad ararerrar at Te TAG | Saree sar eee wt afer: (4) ae ararsar secre fuel cqacaray get Bfaar wear aranret ah wearer oat Wess VAT | Q) Greer (4) ait edt amar ae Fae a Care ae SIE TT AAT | Q) a ameeat age et diet ar qqae wha Auer aranat wae ae Aare aaa aster at are Wh ae | GRIT aay: (1) arinerat agate Sat wert ANATS, 2OWE GH ARVT FI (2) SIT (9) FAAS Hes aA aT Wat area aa amevs aaa ae aeaT AAs | soxx ww AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe aa-1 avian, Gay or (wor y at saeeT (9) St waa) ¥ arirarrat fea: aria Fete: aa vat aera Fat Teas Wa faaiot yar at ‘aTaee: (&) erirar ara: fate Frater aa Fat ASAT, (a) aalean araRe: array HAT ATT: aria vate (veataa aa ah): Ce) aye aa Fafa: (a) wera er fafa: ara arama we Pars:AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe arg (a) aratorarat Pair anties Praren: 40, araiarad aot arta T ataaT faa (e, SaTAT): sree _ arr ier Satire att ata frac a Sarat | carta am | TARE wat | ate | wera Feet ARTE aig Freer arate ATT afar aera ater EAT ea ATT 44. aan ea erat atta ateats (e. Fara) anftfaer af stent 93. Trmeteran aeaeeit Pare: (e) aria wR eet TAsicranaT | aeeTT: eaaett: farewh: (aq) aise wet set Teasers aifis atewts: wa (&, SaNHT) agaita af wa ry ee Ria wat vo43. 4. 44. 48. qe. AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe apart Sal ASEM T THA: arisen arahet weer wa STATE AEATETT TTT: (>) afte < wae sere sera art a, aA aU AT eT AT eT: (@) alte ¢ waite aera aerrt aoe at: (7) ane & wiatire aeaeaar secret Fra: arin, aia car facta fae: @®) ad frat waft (Pay-back Period): @ WATT ATMA (Benefit cost Ratio): a) Fatt watret Fe (Financial Intemal Rate of Retum -FIRR): @) aff yew Fz (Economic Internal Rate of Return — EIRR): AGA Hea (Net Present Value — NPV): | ANTa Wares TETAT (Cost Effectiveness Analysis): BH Vert Te Ww Pars: aaracia waa Weagaat sige far eT aT FI Gea TT) arin arian et ara tartar vepie: (%) apaadt et Fer WATeM: aaiteardt ce | sere | SE | after | Beth | fer | rer (@) teert fast ager (rH fea. (m) Seaesranr ate et ape aia: (a) erat argent eA ane: AAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe ave (a) yemahtes car eraearaabee feraeT: 45. ane era aaa Tt aewiies eraea (&) aeteat sferare Er: (@) ag aes areifesat Pare: () ag ales sees aera aga ater car aT WRIT APaTTT TT: 9%. SAAT aT Tar Ae Ty AeA SATE (®) ass Ta Feat at Genera Tea: (@) ag aearare aR aa gar Aearerat Frare: (a) Foret aearate TR aT Tay HeargsaT Pra: (a) arierrat wire t waa Bt ae faaem: Qo, avatar eh arava yaw aia arnfice: artat art wae APA Aer &, 24. ara yeaa ator aaeT Reorcaee ee iecicos fram: (@) wel wera ae aga animes Pre (wat & get Tee): (a) Wed yeeTCeT Biel WaT HeReaT ATA TAT Pa: Cu) Wet apiece at ara oP Sa GA TEETH atat Prra: 23. arta Psat t aeca aTafey AACA (Phase-out Plan) wera SraeaT: SRAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe evs (a) aratrrat aaft ag wef ot aT: 23. arinnrat waft ag af salar arene: 4. R Ry. ae safer air aries T eTaaTS We EA MRA: wx. | Permamee | vate | vant | awe | wiawet 24. SRISRET 7T BA aaleay PT aa Te SerTiCh: (a) aeteat sreferare EA: (a) ag aes rater: @ aa aie aq aia afte ag aaa wrad HAT WA: Raa A ay safe ait aeae yaa aie arate: arrest art Uae, ayaa Fea &, 6. AMAT Fe aT ae sae arineiaT alae ZVIES, scope Uae, FEAT (Expansion or Up-scaling) AT werd creel acm a aM uRadsat fact gers wa: yo inal araiaare tfacat yer are va Aart TAT aa ware seers TH: 33. Hemera «Gl ACT (Medium) Term Expenditure Framework -MTEF) 4qea avanrarat wrafearan: afeet watera rat wraterat eeAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe 30. ae araiaerat Raima ¢ aera wou wares carer (Phase out Plan): 39. aries eae ay ararear arafra Hearerrat Ta AST ara a: 32. Gemiad Fat aria aarTaT Fae aT Wea araTRT dora wer wt edieia RA velteerier ara et edie fafa: We: aH: earefa fafa: 33. aeafud waaay Ta: (@) ofa at arinare etre care aa at weaft fer fe ae Tae: (@) Sia tag aafaqar are: (a) Frets gaat dat: We a ade fac meds Ae fae da at wig 4. avast afsrerct raat | 3. atte weaned area are | 3, Faniy deat sacra et wear at aaa fart & wear | vyAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe AIR (war y Bt saTHT (2) ar aeafeaa) Project Information for Project Inventory and Establishment of ‘National Project Bank ‘A. General Information Project Name Project ID/ Code Priority of Project | National Pride Project Priority 1(P1) Priority 2(P2) ‘Others (For ature projec, indicate Sra-plicable Secior Transport) Urban Development/Energy/Tourism/IrrigationInfrastruct ure/Health/Education/ Industry/Others (Please Specify) Line Ministry Implementing Agency/Authority Contact Person (Name, designation, contact number, email) Project Location’ | Provinee(s) District(s) Municipality(s) /Rural Municipality(s)AUS Go) AEM 2 ATT TATA ATT y Ff owes Project Implementation | Public (GON) Funding Modality Source: PPP ‘Type of PPP (BT,BOT,BOO Private: T. EPC&P, etc) ‘Company Private: ‘Name: Domestic (100%) Private Foreign (100%) Boil (Domestic & Foreign): Domestic (Please fill in this section for | Foreign both ongoing & future projects) % B. Project Specific BI.Briel] Please atch brief notes in the annex for BI and B2. Deseripti on of Project including salient features: B2Justifi cation of Project Selection for implemen tationAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe B3 Proje | i Under a) Tender and Contract tStatus | Implementation | phase b) Ongoing/under construction Type of Contract: | BeQ EPC Tum key Name of 4 Contractor: a) Desk Study (Please insert a b) Prefeasibility brief note on current status of ©) Feasibility work) ii, Future Project d) DPR/DER 1s Project Development Fund mechanism in place? Yes No (Please insert a brief note on current status including name of agency/consultant responsible for the study and the cost of study)AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe Ba. Project Impleme nation Schedule/ status i, Preconstruction Activities a) Required clearance sand Approval for Implemen tation from Federal/P rovincial/ Local governme nit(s) b) Governm ent Support if Any (VGF, Guarante es, ete) ©) Design Completi on 4), Tenderin gand Contract Award a (package 1) 2 (package 2) & (package 3) 4 (package 4) (Environ ment (Indicate Estimated/Actual Dates) mm/yyyy mmiyyyy mmiyyyy mmiyyyy, mm/yyyy mmmiyyyy mmiyyyy mmiyyyy mm/yyyy mmn/yyyy ecAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe clearance/ EIA/SIA, land acquisitio n,etc,) ii, Construction a) Commen cement Date Estimated Actual b) Completi on Date (Estimate) iii, Project Milestones and Critical Dates (Please insert a brief Project Implementation Schedule (PIS), if ‘any as annex) BS. Project Cost for Impleme | Original Estimate | Cost Estimate (USD): ntation | Date of Estimate BS.1 Total Revised Estimate | Revised Cost Estimate (USD): Project Cost (for both ongoing ‘and future projects) Total in USD as of date: Actual Total in NPR as of date: Expendit ure till FY.. (only for ongoing Project) esAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe BS.2 Is break down of cost under major heading available? Yes No If-Yes, Provide summary of cost under major headings in 5.3. 135.3 Cost Heading | Foreign [Nepali | Total Cost in [Summary Cost | Rupees | NPR lof Cost (Fc) | (NPR) lunder Compo | Cost [Major nent | Compone Headings nt (Please indicate basis for Conversion of FC into NPR) C. Project Financing Arrangement Ci. Financing Percentage Structure GON share (%) Loan Grant Private Equity Others (Mezannine, VGP, etc) C2, Project Financing Status Is the financing for the Project already in place? Yes No If Yes, Please answer section C3. IfNo, what is the proposed plan for financing arrangement for the project? (add a brief note) C3. Soure For Government | (Funding agencies and their of Funding — | Project: contribution is USD) a) GON b) Internal Loan Funding Agency Fund fo) External | aasesssscccesesee sete 50AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe Souree Loan Grant For PPP and Private Project: a) Internal b) External ©) Private Equity Foreign Local: d) Others C4. Annual Financing Requirement Please provide Actual/Proposed annual financing requirements of the Project in annex. D. Project Viability DI Economic Indicators EIRR: % NPY (@Discount Rate): BIC Ratio: D2 Financial FIRR: Indicators NPV (@Discount Rate) BIC Ratio: IRRoon Equity: Payback Period: Cost Effectiveness D3 Social Sector Employment Rate Indicators BIC Ratio E, Land Acquisition Status & Resettlement (Fill in this part only if ma& resettlement is required) Require] Total Remaining land dland | acquired | to be acquired (Ha) | land till | (ta) date (Ha) oYAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe ET. Land Acquisition Status a) Government Land Forest Others (please SPECIFY) eoseceee b) Guthi Land ©) Private Land d) Other (please specify)... ing land to be acquired, please mention the target date to acquire: mm/yyyy Please indicate issues i ing land acquisition (ifany) F3. Resettlement Plan for | No. of No. _] No of remaining Project Affected Families | affected | of | HHstobe (PAFs) households | HHs_ | ‘locatedirescttled (Hs) reloc ated! resett led F._ Target Beneficiaries Direct (Number of | Number and hppe of Household) people who will benefit directly from the project Indirect (Number | Number and type of of Household) | people who will benefit indir from the project G._Outcomes and Deliverables Indicate final Identify the key ‘outcomes forthe | outcomes (physical, project in the form | financial, ete) and of measurable | pieces of work that indicators which | need 10 be SRAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe ‘ean be used for | undertaken, impact assessment/evalua tion after the project is complete H._ Risk and Issues Risks Mention key risks & issues identified for project Key Issues ‘implemeniation and successfl completion (In 1-3 ‘major risks & issues). I.__ Basis of Project Selection TI Ts this Project/Scheme part of any master plan oF the Sector? Yes ‘No If Yes, i. Please submit available Master Plan Document. Has the Master Plan Document been approved? Yes (] Nd] iii, If Yes, Name the approving Authority and date. Approving Authorit Approval Date: mm/yyyy IfNo, ‘On what basis (selection Criteria) is the project selected (include brief notey? Is the project detived from National Periodic Plan or any other strategic document that establishes development priorities at ‘appropriate government authority (include brief note)? Is there any plan to develop Master Plan of the sector? If yes, by which Date? oFAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe J. Remarks (ifany) K. Form Received Date and Document Status To be filled in by the NPC | Document ddinmiyyyy Received Date To be filled in by the NPC] Documents Concept Paper Received (Select), | Executive Summary Feasibility Report DPR Other To be filled in by the NPC Remarks oeAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe Fa S (war y wt sTTHT (2) aT Arafat) aire ait agate sar yd eeht were aaa wa. WUT awe | after (MTEF) @ aaa aT oraeat au, aya ara ahaa. wafiararaen aera at ciferat aur aa arise agar wares auaL Fa AM TA aT wae wat area wet tae wat fai t tar ate arinerat ear ate ate eat ver adie ar | shAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe we. Fraer aut AER ihre Pain yerat ue aa Tat warrant | ara aT aaa die ataea aver get ae qT EAT BA, ak aviary wut Rox Tuts alara awa (ux ae AR onan rant ey FTI carat aaa ter eri oe afera ava | aarad | Faeyr favee faeqa © apie wae /eqe afahafee fSare4 (Detailed Project Report/Detailed Survey Engineering Report/Detailed Engineering Design) Sata aea ariet ay craeary eat wiell. (NPBMIS) #T wept fame wae at wars wTAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe we. Fraer aut AER ihre aranrret areraeoier wart qeapvartere = aaracier aaa (Environment Impact Assessment/Initial Environment Examination) — AST WTA AAT | waite at fet ar witat arch afar efivat aa aaa aa (Hamar ei TT werG WT ATEW | qo! aah wea aera aut aTaTTATT aA TY PreraeT watt os ata aaa wat | a4 aRAUS Go) AEM 2 ATT TATA ATT y Ff owotlAe we. Fraer aut savant | Seat St ara ay arerarftet vet Cae aga 7 aia aaa ahaa ast q2) aba ap war aca frais, 200% a Paro ae aa aET Tat ASAT craeat afafia wea | qv aera ca weet WT eter aft are araat at Sate fra coe ward) aranrar Fer eat | ware TA: aur 1 AH ae: ATH: We: Ue: ooaay (war © Br saTET (3) Ht Ararat) AUS Go) AEM 2 ATT TATA ATT y Ff owotlAe E § t BE i pdt E eebeets EERE Eee We aga wa «Ria ate (ete aaa) chr 4(wouoduos | Bk Juowpes) pom | EKER) BUS Go) BEM RATA TATA AUT y Ff Rowe eoata: 3 amin aaa agai Sar cs yd See aft ant aR aria (are suave) frac Hara ATT 0) FEAT 2 AUT TATA ATT 4 Frfet RoVLoEIea i gE hp é : BE yds vps : Has BEEDS a: Hi Fae Heat as | aia aaare wa «Fae atte arate ATA: at,